Scholarly Article
Effect of instrument assisted soft tissue manipulation Versus positional release therapy on pain and functional disability on unilateral upper trapezitis: A Comparative Study.
Mahendran, P., Kalaiselvi, K., Sujana, N.
2025-12-31 · VIMS JOURNAL OF PHYSICAL THERAPY · DVVPF's, College of Physiotherapy
Abstract
Effect of instrument assisted soft tissue manipulation Versus positional release therapy on pain and functional disability on unilateral upper trapezitis: A Comparative Study. 1 P Mahendran,2K. Kalaiselvi, 3N. Sujana 1Principal, 2Professor, Acharya Institute of Health Sciences, R.T.Nagar, Bangalore. 3 Clinical Physiotherapist, JMJ hospital, Bangalore Background: Trapezitis is an inflammation of the trapezius muscle leads to formation of myofascial trigger points which will get aggravated by improper posture which is causing pain, reduced range of motion and functional disability. Instrument assisted soft tissue manipulation and positional release therapy will help to release myofascial trigger points to restore the muscle structure and function. Materials and Methodology: 65 subjects identified with unilateral upper trapezitis were screened for eligibility and 60 subjects satisfied the inclusion and exclusion criteria and agreed to participate in the study were randomly allocated into two groups were Group A (n=30) received instrument assisted soft tissue manipulation along with ultrasound therapy and Group B(n=30) received positional release therapy along with ultrasound therapy. Both the groups received 3 session/week for 4weeks. The outcome was measured during the first day and at the end 4thweek of intervention using VAS and neck disability index for pain and functional disability. Results: Both intervention groups demonstrated statistically significant improvements across all outcome measures. In Group A (instrument assisted soft tissue manipulation), the neck reduced from 7.53± 0.82 before the intervention to 1.37 ± 1.03 after the intervention (p < 0.001).In Group B (positional release therapy), NDI improved from 23.33 ± 4.79 to 8.43±2.75 (p < 0.001). Conclusion: Hence, concluded that Group A (instrument assisted soft tissue manipulation) is significantly effective than Group B (positional release therapy) on pain and functional disability on unilateral upper trapezitis.
Keywords
Upper trapezitis, instrument assisted soft tissue manipulation, positional release therapy, ultrasound therapy, neck disability index, visual analogue scale.
Citation Details
VIMS JOURNAL OF PHYSICAL THERAPY, pp. 6-10